COLORADO RIVER INDIAN TRIBES

FISH AND GAME DEPARTMENT

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DECLARATION OF LAWFUL TAKING OF FISH, GAME, BIRDS OR ANIMALS

Species Description: Number Pounds
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The above species of fish and or game were legally taken and possessed by:

Print:_____________________________________________on the Colorado River Indian Reservation.

District#:__________________________________________

Hour Hunted:________________Total hours hunted_______________*

Destination:_______________________________________State:_____________________________________

Hunting license No.#:__________

Fishing License No.#:__________

Vehicle License No.#:__________

Date:_____/_____/_____

Signature:__________________________________________

* Indicates total hours hunted (i.e.; 6:00am to 10:00am = 4 hours)

The information you provide helps us in our wildlife program, thank you for taking time to fill out this form.

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